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Insurance Licensing Ok-Life-Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Health Insurance Fundamentals | 20-25% | - Health maintenance organizations (HMOs) - Major medical insurance - Dental and vision coverage - Preferred provider organizations (PPOs) - Disability income insurance |
| Topic 2: Life Insurance Basics | 15-20% | - Beneficiary designations - Policy provisions and riders - Types of life insurance policies - Cash value and loan provisions |
| Topic 3: Ethics and Professional Conduct | 10-15% | - Fiduciary responsibilities - Disclosure requirements - Antifraud regulations - Handling customer complaints |
| Topic 4: Accident and Sickness Insurance | 15-20% | - Critical illness insurance - Accident-only policies - Sickness-related coverage - Hospital indemnity insurance |
| Topic 5: Oklahoma Insurance Regulations | 20-25% | - Oklahoma Insurance Code requirements - Unfair trade practices prohibitions - Consumer protection regulations - Market conduct regulations - Licensing requirements and procedures |
| Topic 6: Insurance Marketing and Sales | 10-15% | - Sales practices and disclosures - Replacement regulations - Suitable product recommendations - Recordkeeping requirements |
Insurance Licensing Oklahoma Life, Accident, and Health or Sickness Producer Sample Questions:
How are benefits treated for tax purposes if an individual is receiving disability insurance benefits from a group policy paid for by his employer?
- A. They are taxable income.
- B. They are only subject to Social Security and FUTA taxes.
- C. They are not taxable.
- D. They can be deducted from gross income.
Correct Answer: A 🗳️
Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).
An insured individual who just turned 67 years old is still working and is a member of the group health insurance plan provided by his employer, which has 18 insured employees. In this case, Medicare will MOST likely
- A. act as a secondary insurer and pay claims not completely covered by the group health insurance.
- B. not cover any claims to protect against overinsurance.
- C. act as the primary insurer and pay claims up to the limit of the policy.
- D. require the individual to cancel his group insurance.
Correct Answer: A 🗳️
Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).
A group major medical policy is written with a $1,000 deductible, 80/20 coinsurance, and an out-of-pocket maximum of $3,000. The insured goes into the hospital for a covered procedure. The total cost of the procedure is $5,000. How much does the insured have to pay towards the $5,000 total?
- A. $1,000
- B. $5,000
- C. $1,800
- D. $3,000
Correct Answer: D 🗳️
Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).
An agent's underwriting duties include which of the following?
- A. Issuing the policy.
- B. Setting premium amounts.
- C. Completing all applications and collecting initial premiums.
- D. Declining or accepting an application.
Correct Answer: C 🗳️
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Health benefit plans providing maternity coverage shall provide postpartum home care if childbirth occurs at home within?
- A. 48 hours by vaginal delivery.
- B. 24 hours by vaginal delivery.
- C. 72 hours by vaginal delivery.
- D. 96 hours by vaginal delivery.
Correct Answer: A 🗳️
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